| NPI | 1063426302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 45396) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN CV2200139) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A46139) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-10-15 |